Credentialing Specialist Job at Beyond Expectation, LLC, Las Vegas, NV

Zm1FbkE1OWgxZlNCOW5ST214MER6dWZyV1E9PQ==
  • Beyond Expectation, LLC
  • Las Vegas, NV

Job Description

Job Description

Job Description

Salary: $22.00 - $25.00 per hour

Job Summary
We are seeking a detail-oriented and organized Credentialing Specialist to join our team at our Las Vegas, Nevada location. In this role, you will be responsible for managing the credentialing process for Mental Health Providers, ensuring compliance with industry standards and regulations. The ideal candidate will possess a strong understanding of Commercial, Medicaid, Medicare Insurance and EAP carrier operations, Mental Health Office operations, and medical terminology, allowing them to effectively navigate the credentialing landscape. This is an onsite position and candidates must live in the Las Vegas, Nevada area as familiarity with the local insurance carriers is essential. Experience credentialing in multiple states, including Michigan, is preferred.

Responsibilities

  • Conduct thorough verification of credentials for Mental Health Providers.
  • Maintain accurate and up-to-date records of Provider credentials and documentation.
  • Collaborate with various departments to ensure compliance with insurance carrier requirements.
  • Review applications for completeness and accuracy, following established standards.
  • Communicate with Providers regarding the status of their credentialing applications.
  • Stay informed about changes in regulations and standards related to credentialing processes.
  • Assist in the development and implementation of policies and procedures related to credentialing.
  • Regularly review insurance and EAP carrier member portals to ensure accurate company and individual Providers' information is displayed for optimum referral generation.

Requirements

  • Proven experience in a Mental Health Office.
  • Strong knowledge of insurance carrier processes and medical terminology.
  • Excellent attention to detail and organizational skills.
  • Ability to work independently as well as part of a team.
  • Proficient in using computer systems, EHR, and software relevant to credentialing tasks.
  • Strong communication skills, both written and verbal, to effectively interact with Mental Health Providers and staff.

Join our dedicated team as a Credentialing Specialist and contribute to ensuring high-quality care through effective Provider credentialing practices.

Job Types: Full-time, Contract

Pay: $22.00 - $25.00 per hour

Schedule:

  • 8-hour shift
  • 4-hour shift
  • Day shift
  • Evening shift
  • Monday to Friday
  • Weekends as needed

Work Location: Must reside in Southern Nevada (i.e, Las Vegas, Henderson).

Job Tags

Hourly pay, Full time, Contract work, Live in, Work at office, Local area, Monday to Friday, Shift work, Weekend work, Day shift, Afternoon shift,

Similar Jobs

Volkswagen of Inver Grove

Automotive Parts Counter Job at Volkswagen of Inver Grove

 ...award-winning standards our community has come to expect. Responsibilities Communicate clearly with customers and staff regarding parts availability, order status, and recommendations Understand and interpret parts catalogs and diagrams to accurately identify... 

JCPenney

Operations Associate - Memorial City Job at JCPenney

 ...life insurance, paid vacation/holidays*, and 401(k) with company match. All associates are eligible for an associate discount on JCPenney merchandise. For paid holidays, associates who are eligible for paid vacation (MTO) are also eligible for eight paid holidays during... 

Blue Sushi Sake Grill

Sushi Chef Job at Blue Sushi Sake Grill

 ...Job Description Job Description Requirements: Previous experience working as a Sushi Chef or in a similar role preferred, but not required. We have a thorough training program to prepare individuals with superior knife skills for success in the role. Excellent... 

Art Room

Animator Job at Art Room

 ...Room Orlando, a leading arts and crafts company. As an Animator, you will play a crucial role in creating engaging and educational animations to support our learning materials and projects. This role is vital in bringing our content to life and enhancing the overall... 

Best Western Plus

Guest Service Representative - Hotel Front Desk Job at Best Western Plus

 ...SureStay Hotel byBestWestern Secaucus is hiring for a hotel Guest Service Representative to serve as our guests first point of...  ...bookings and payments Skills Work experience as a Hotel Front Desk Agent, Receptionist or similar role Experience with hotel reservations...